HIV Treatment As Prevention: A Longitudinal Assessment Of Population Effectiveness
Funder
National Health and Medical Research Council
Funding Amount
$783,160.00
Summary
This project is a large-scale evaluation of an HIV strategy known as ‘treatment as prevention’ (TasP). Through routine and repeat HIV testing for gay men and early treatment initiation following diagnosis, TasP aims to reduce HIV community infection rates. Through the establishment of a large cohort of gay men in NSW and Victoria, this study will track HIV testing, treatment and management to assess the real-world efficacy of TasP for reducing HIV infections among this at-risk population.
Risk Of Hepatitis C Reinfection Among People With Current Injecting Drug Use Following Successful HCV Treatment
Funder
National Health and Medical Research Council
Funding Amount
$2,245,228.00
Summary
In Australia, hepatitis C (HCV)-related morbidity and mortality are rising. One of the most important recent breakthroughs in clinical medicine is the approval of safe, simple, interferon-free HCV therapies with cure rates >95%. Although people who inject drugs account for the majority of new and existing cases of HCV, reinfection following treatment can occur. The goal of this Project Grant is to examine HCV treatment and reinfection following successful therapy among people who inject drugs ....In Australia, hepatitis C (HCV)-related morbidity and mortality are rising. One of the most important recent breakthroughs in clinical medicine is the approval of safe, simple, interferon-free HCV therapies with cure rates >95%. Although people who inject drugs account for the majority of new and existing cases of HCV, reinfection following treatment can occur. The goal of this Project Grant is to examine HCV treatment and reinfection following successful therapy among people who inject drugs.Read moreRead less
Genetic And Environmental Risk Factors For Food Allergy In Australian Children
Funder
National Health and Medical Research Council
Funding Amount
$299,564.00
Summary
This project aims to provide important information on the role that genetic and environmental factors have in the development of food allergy in Australian children. The study will enable us to understand better the natural history of food allergy in infancy and early childhood and will help to identify risk factors for the development and resolution of food allergy. The results of this study will have implications for clinical guidelines and public health policy.
POPULATION-LEVEL RELEVANCE OF RISK FACTORS FOR CANCER
Funder
National Health and Medical Research Council
Funding Amount
$319,692.00
Summary
This research will provide novel up-to-date evidence-based information on the population-level relevance of lifestyle-related risk factors for cancer in Australia, by applying an advanced disease burden measure to established Australian cohort studies. This knowledge on the national cancer burden is essential for targeting cancer interventions for those at highest risk and evaluating their effectiveness.
Thai Health-Risk Transition: A National Cohort Study - Phase II
Funder
National Health and Medical Research Council
Funding Amount
$1,662,829.00
Summary
We are conducting a pioneering collaborative longitudinal study of population health in Thailand, following over time more than 80,000 adults living throughout the country. We repeatedly measure a wide array of health risks and outcomes. We capture information on the health-risk transition underway in Thailand as the population experiences the new burden of disease associated with economic development and modernisation. We team up with policy makers for national responses to lower the burden.
Fitness Versus Fatness: Disentangling Their Effects On Disease Outcomes And Estimating The Population Burden Of Disease
Funder
National Health and Medical Research Council
Funding Amount
$188,537.00
Summary
Overweight and physical inactivity are two of the major risk factors for cardiovascular disease and diabetes. With increasing population levels of overweight, governments are increasingly advocating public health measures aimed at increasing physical activity levels or otherwise decreasing weight. There has been much research concerning which of these factors is the key prognostic factor for adverse health outcomes, but an ongoing lack of clarity of research findings has led to uncertainty as to ....Overweight and physical inactivity are two of the major risk factors for cardiovascular disease and diabetes. With increasing population levels of overweight, governments are increasingly advocating public health measures aimed at increasing physical activity levels or otherwise decreasing weight. There has been much research concerning which of these factors is the key prognostic factor for adverse health outcomes, but an ongoing lack of clarity of research findings has led to uncertainty as to the direction of recommendations for preventive health strategies and population lifestyle changes. In addition, the risks of overweight, in particular, have been accused of being exaggerated in both the scientific and lay literature. This is often due to the difficulty of dealing appropriately with time varying confounders which are also intermediate factors (such as hypertension). To date, no studies have performed careful longitudinal modelling of the joint effects of physical inactivity and overweight on cardiovascular events and diabetes while taking into account the effects of factors, such as hypertension or atherosclerosis, that influence both physical activity and overweight as well as disease, and simultaneously are consequences of these risk factors. Standard statistical methods are known to produce biased estimates in these situations but we will apply more recently developed statistical techniques to provide much improved estimation of these effects. After the statistical modelling stage, we will model the burden of diabetes, cardiovascular disease and mortality associated with given levels of overweight and physical inactivity. These will be combined with population levels of overweight and inactivity to identify the fraction of the current and future burden of disease attributable to these risk factors.Read moreRead less
Endometrial cancer (uterine or womb cancer) is the most common invasive gynaecological cancer in Australia. Each year more than 1400 women are affected by the condition, and death is common amongst a subset with more aggressive disease. We plan to conduct a national study of endometrial cancer to identify options for prevention of the disease. No previous studies have looked at risk factors for endometrial cancer in Australian women. In particular, we hope to identify modifiable risk factors for ....Endometrial cancer (uterine or womb cancer) is the most common invasive gynaecological cancer in Australia. Each year more than 1400 women are affected by the condition, and death is common amongst a subset with more aggressive disease. We plan to conduct a national study of endometrial cancer to identify options for prevention of the disease. No previous studies have looked at risk factors for endometrial cancer in Australian women. In particular, we hope to identify modifiable risk factors for endometrial cancer, and identify genes that make some women particularly susceptible to the disease. There are at least two main types of endometrial cancer and limited evidence suggests that they may have different causes. Few studies have examined the two different types separately, and there is virtually no information regarding risk factors for the more aggressive forms. In addition, little is known about genetic factors that predispose women to endometrial cancer. In the present study, we will investigate which genes cause endometrial cancer in women who have a strong family history of the disease. We will also identify genes that are related to endometrial cancer in women with no obvious family history of cancer, and investigate how these genes interact with environmental factors (such as hormone replacement therapy and obesity) to cause disease. National epidemiological studies of other cancers are currently being conducted by our research groups within QIMR. In the present proposal, we will use our experience to build on the infrastructure and procedures already in place to conduct a new study on endometrial cancer. As one of the largest population-based studies of endometrial cancer ever conducted, it will be able to answer many of the questions that are currently unresolved. Moreover, answers will be relevant to Australian women and clinicians as well as to inform prevention strategies.Read moreRead less
Quantifying The Effectiveness Of Pertussis Vaccine In Older Adults
Funder
National Health and Medical Research Council
Funding Amount
$448,703.00
Summary
Pertussis is the most poorly controlled vaccine preventable disease in Australia. Childhood pertussis is a well-known public health problem but adult pertussis is also common and has a significant burden on the health system, especially in adults over 65 years. Pertussis vaccines for adults are currently not funded by our national immunisation program. This project will provide vital data to inform whether pertussis vaccination is cost-effective in older Australian adults.